Jean Carlos Rodriguez
Jean Carlos Rodriguez is a Clinical Social Worker in Fort Lauderdale, Florida. Qualified in 2022, 4 years ago. Practices as a sole proprietor.
- Years since qualifying
- 4
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
300 SE 2nd St Ste 600Fort Lauderdale, FL 33301-1950
Phone: (561) 907-7158
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Social Worker | Taxonomy 104100000X |
Record details
| NPI number | 1679352165 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 25, 2023 |
| Last updated in NPPES | September 25, 2023 |
| Certification date | September 25, 2023 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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